Program Operations Manual System (POMS)

NL 00720.150 ERN Earnings

In the year (1) age (2) , we only count (3) earnings for months before (4) age (5) . If (6) less than (7) in the months before (8) age (9) , (10) can get all of (11) benefits. Our records show (12) became age (13) on (14) . We figured (15) earned about (16) in the months before full retirement age.

Here is how we figured (1) earnings for the months before (2) became age (3) . First, we had to find (4) average earnings for each month. Our records show (5) earned (6) in (7) . So we divided these earnings by 12 (the number of months in a year). Then, we multiplied this number times (8) , which is the number of months before (9) turned age (10) . Based on this, we figure (11) earned about (12) in the months before (13) turned age (14) .

Please let us know right away if:

(15) did not work all months in the year; or

(16) earnings were not evenly spaced throughout the year.

Fill-in values:

Fill-in (1) - Systems Generated

Choice 1: your

Choice 2: beneficiary's full name

Fill-in (2) - Systems Generated

Choice 1: you

Choice 2: he

Choice 3: she

Choice 4: beneficiary's first name

Fill-in (3) - Systems Generated

Choice 1: 65

Choice 2: 65 and 2 months

Choice 3: 65 and 4 months

Choice 4: 65 and 6 months

Choice 5: 65 and 8 months

Choice 6: 65 and 10 months

Choice 7: 66

Choice 8: 66 and 2 months

Choice 9: 66 and 4 months

Choice 10: 66 and 6 months

Choice 11: 66 and 8 months

Choice 12: 66 and 10 months

Choice 13: 67

Choice 14: 70

Fill-in (4) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

Choice 4: (beneficiary's first name)'s

Choice 5: (beneficiary's first name)'s

Fill-in (5) - Systems Generated

Choice 1: you

Choice 2: he

Choice 3: she

Choice 4: beneficiary's first name

Fill-in (6) - Requested As A Money Amount In Format $$$$$.¢¢

Choice 1: reported earnings

Fill-in (7) - Systems Generated

Choice 1: age 70 or FRA year (same as enforcement year)

Fill-in (8) - Requested As A Number

Choice 1: number of calendar months before the person turned age 70 or FRA:

Self-employment earnings for (1) have been adjusted to (2) because (3) .

Fill-in values:

Fill-in (1) - Requested As A Year In Format Shown Below

Choice 1: CCYY

Fill-in (2) - Requested As A Money Amount In Format $$$$$.¢¢

Choice 1: Amount

Fill-in (3) - Requested As A One Position Alpha Character

Choice 1: (A) income from renting rooms and apartments cannot be included unless special personal services are furnished to the tenants

Choice 2: (B) a farm owner's share of income cannot be included when a tenant works the farm unless the farm landlord materially participates in the production activities on his farm

Choice 3: (C) income from renting real estate cannot be included unless it is received in the ordinary course of business by a real estate dealer

Choice 4: (D) capital gains or losses not derived from the disposition of inventoriable property, stock in trade, or property held primarily for sale cannot be included

Choice 5: (E) income received from the sale of livestock held for dairy, work or breeding purposes cannot be included

Choice 6: (F) you have elected to use the option method of computing your self-employment income

Choice 7: (G) some business deductions were not taken. All expenses paid or incurred in carrying on a trade or business and a reasonable allowance for depreciation of property must be deducted in computing net earnings from self-employment

Our records show earnings of (1) were reported for (2) for (3) . We assume that (4) earned all of this money in (5) and that (6) worked all months of (7) after (8) became entitled to benefits.

(9) earnings affect the amount of Social Security benefits (10) due for (11) . However, we may not have to count all of the earnings reported for (12) . If any of the following apply to (13) , get in touch with any Social Security office and have a record of (14) earnings with you. Let us know if:

(15) earned some of the money before (16) , or

(17) earned a different amount in (18) , or

(19) did little or no work in at least one month of (20) after (21) became entitled to benefits, or

Our records show earnings of (1) were reported for (2) for (3) . We assume that (4) earned all of this money in (5) .

(6) earnings affect the amount of Social Security benefits (7) due for (8) . However, we may not have to count all of the earnings reported for (9) . If any of the following apply to (10) , get in touch with any Social Security office and have a record of (11) earnings with you. Let us know if:

For this reason, the other members of the household together are due (1) more each month. We will pay (2) this amount instead of increasing the other benefits. However, since this money is really due the other family members, it should be used only for their needs.

Because of (1) work and earnings in (2) , (3) of (4) benefits for the year should have been withheld. For this reason, the other members of the household together were due (5) more. However, we continued to pay (6) instead of increasing the other benefits.

We can pay (1) benefits for months during (2) when (3) (4) or less and (5) not active in self-employment. Therefore, we will pay (6) (7) .

Fill-in values:

Fill-in (1) - Systems Generated

Choice 1: you

Choice 2: beneficiary name

Fill-in (2) - Requested As A One Position Alpha Character or a date in format shown below

Choice 1: (A) this year

Choice 2: (B) last year

Choice 3: CCYY

Fill-in (3) - Requested As A One Position Alpha Character

Choice 1: (A) you earn

Choice 2: (B) you earned

Choice 3: (C) (name) earns

Choice 4: (D) (name) earned

Fill-in (4) - Requested As A Money Amount In Format $$$$$.¢¢

Choice 1: Amount

Fill-in (5) - Requested As A One Position Alpha Character

Choice 1: (A) are

Choice 2: (B) is

Choice 3: (C) were

Choice 4: (D) was

Fill-in (6) - Systems Generated

Choice 1: you

Choice 2: him

Choice 3: her

Fill-in (7) - Requested As A Date In Format Shown Below (Must Code the word ‘for’ or ‘beginning’ before the date)

Choice 1: for MM/CCYY

Choice 2: for MM/CCYY and MM/ CCYY

Choice 3: for MM/ CCYY through MM/ CCYY

Choice 4: beginning MM/ CCYY

ERN053 TO WORKING BENEFICIARY PAYMENT BASED ON ATTAINMENT OF FULL RETIREMENT AGE IN FUTURE MONTH (W21)

(Requested)

Caption: Your Benefits

We are withholding (1) benefits for (2) because of (3) earnings. We will begin paying (4) when (5) full retirement age. In (6) case that is (7) . We will pay (8) for all future months after (9) full retirement age.

Since (1) estimated (2) would earn (3) or less for (4) , we do not have to withhold any of (5) benefits for the year. If (6) work plans change and (7) that (8) will earn over (9) , please let us know right away.

Fill-in values:

Fill-in (1) - Systems Generated

Choice 1: you

Choice 2: Beneficiary's name

Fill-in (2) - Systems Generated

Choice 1: you

Choice 2: he

Choice 3: she

Fill-in (3) - Systems Generated

Choice 1: Current year earnings limitation

Fill-in (4) - Requested As A Date In Format Shown Below

Choice 1: CCYY

Fill-in (5) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (6) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (7) - Systems Generated

Choice 1: you find

Choice 2: he finds

Choice 3: she finds

Fill-in (8) - Systems Generated

Choice 1: you

Choice 2: he

Choice 3: she

Fill-in (9) - Systems Generated

Choice 1: Current year earnings limitation (same as Fill-in 3)

ERN057 BENEFITS PAYABLE IN CURRENT OR PRIOR YEAR BECAUSE OF NON-SERVICE MONTHS (W37)

(Requested)

Caption: Your Benefits

We can pay (1) benefits (2) (3) because (4) (5) (6) (7) .

Please be sure to let us know right away if (8) work or earnings change, because changes would affect the amount of (9) benefits.

Fill-in values:

Fill-in (1) - Systems Generated

Choice 1: you

Choice 2: Beneficiary's name

Fill-in (2) - Requested As A One Position Alpha Character

Choice 1: (A) for

Choice 2: (B) beginning

Fill-in (3) - Requested As A Date In Format Shown Below

Choice 1: MM/CCYY

Fill-in (4) - Requested As A One Position Alpha Character

Choice 1: (A) you did not

Choice 2: (B) you will not

Choice 3: (C) you are not

Choice 4: (D) he did not

Choice 5: (E) he will not

Choice 6: (F) he is not

Choice 7: (G) she did not

Choice 8: (H) she will not

Choice 9: (I) she is not

Fill-in (5) - Requested As A One Position Alpha Character

Choice 1: (A) earn more than

Choice 2: (B) earning more than

Choice 3: (C) perform substantial services in self-employment

Choice 4: (D) performing substantial services in self-employment

Fill-in (6) - Systems Generated

Choice 1: Show appropriate monthly earnings limit in format $$$$$¢¢

Fill-in (7) - Requested As A One Position Alpha Character

Choice 1: (A) during that month

Choice 2: (B) during each of those months

Choice 3: (C) Null

Fill-in (8) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (9) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

ERN058 PARTIAL BENEFIT FOLLOWED BY FULL BENEFITS PAID IN CURRENT YEAR BECAUSE OF NON-SERVICE MONTHS (W39)

(Requested)

Caption: Your Benefits

We can pay (1) benefits (2) because (3) (4) (5) during (6) . Because of (7) estimated earnings of (8) for (9) , we can pay (10) only part of (11) benefits for (12) , and (13) full benefit for all months after that.

Please be sure to let us know right away if (14) work or earnings change, because changes would affect the amount of (15) benefits.

Fill-in values:

Fill-in (1) - Systems Generated

Choice 1: you

Choice 2: Beneficiary's name

Fill-in (2) - Requested As A Date In Format Shown Below

Choice 1: MM/CCYY

Choice 2: MM/CCYY and MM/CCYY

Choice 3: MM/CCYY through MM/CCYY

Fill-in (3) - Requested As A One Position Alpha Character

Choice 1: (A) you are not

Choice 2: (B) you will not

Choice 3: (C) he is not

Choice 4: (D) he will not

Choice 5: (E) she is not

Choice 6: (F) she will not

Fill-in (4) - Requested As A One Position Alpha Character

Choice 1: (A) earn more than

Choice 2: (B) earning more than

Choice 3: (C) perform substantial services in self-employment

Choice 4: (D) performing substantial services in self-employment

Fill-in (5) - Systems Generated

Choice 1: Monthly earnings limit

Choice 2: null

Fill-in (6) - Requested As A One Position Alpha Character

Choice 1: (A) that month

Choice 2: (B) each of those months

Fill-in (7) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (8) - Requested As A Money Amount In Format $$$$$$.¢¢

Choice 1: Estimated earnings amount

Fill-in (9) - Systems Generated

Choice 1: CCYY (current year)

Fill-in (10) - Systems Generated

Choice 1: you

Choice 2: him

Choice 3: her

Fill-in (11) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (12) - Requested As A Date In Format Shown Below

Choice 1: MM/CCYY partial benefit is paid

Fill-in (13) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (14) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (15) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

ERN059 FULL BENEFITS PAYABLE TO AUXILIARY BECAUSE OF NUMBER HOLDER'S WORK AND EARNINGS (W41)

(Requested)

Caption: Your Benefits

Because of (1) work and earnings, only a partial benefit is payable for (2) (3) .

Fill-in values:

Fill-in (1) - Requested As A One Position Alpha Character

Choice 1: (A) your husband's

Choice 2: (B) your wife's

Choice 3: (C) your former husband's

Choice 4: (D) your father's

Choice 5: (E) your mother's

Choice 6: (F) bene's name possessive + husband's

Choice 7: (G) bene's name possessive + wife's

Choice 8: (H) bene's name possessive + former husband's

Choice 9: (I) bene's name possessive + father's

Choice 10: (J) bene's name possessive + mother's

Fill-in (2) – Requested As A Date In Format Shown Below

Choice 1: MM/CCYY

Choice 2: MM/CCYY and MM/CCYY

Choice 3: MM/CCYY through MM/CCYY

Fill-in (3) - Requested As A One Position Alpha Character

Choice 1: (A) null

Choice 2: (B) and each month thereafter

ERN060 PAYMENT IN CURRENT YEAR BASED ON NON-SERVICE MONTHS – THE FULL RETIREMENT AGE (W43)

(Requested)

Caption: Your Benefits

We can pay (1) benefits for (2) because (3) will not (4) (5) during (6) . Because of (7) work, we cannot pay (8) any other benefits until (9) full retirement age. In (10) case that is (11) .

Please be sure to let us know right away if (12) work or earnings change, because changes could affect the amount of (13) benefits.

Fill-in values:

Fill-in (1) - Systems Generated

Choice 1: you

Choice 2: Beneficiary’s name

Fill-in (2) - Requested As A Date In Format Shown Below

Choice 1: MM/CCYY

Choice 2: MM/CCYY and MM/CCYY

Choice 3: MM/CCYY through MM/CCYY

Fill-in (3) - Systems Generated

Choice 1: you

Choice 2: he

Choice 3: she

Fill-in (4) - Requested As A One Position Alpha Character

Choice 1: (A) earn more than

Choice 2: (B) perform substantial services in self-employment

Fill-in (5) - Requested As A Money Amount In Format $$$$$.¢¢ or Alpha Character

Choice 1: Monthly earnings limit

Choice 2: (B) null

Fill-in (6) - Requested As A One Position Alpha Character

Choice 1: (A) that month

Choice 2: (B) each of those months

Fill-in (7) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (8) - Systems Generated

Choice 1: you

Choice 2: him

Choice 3: her

Fill-in (9) - Systems Generated

Choice 1: you reach

Choice 2: he reaches

Choice 3: she reaches

Fill-in (10) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (11) - Systems Generated

Choice 1: full retirement age

Fill-in (12) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (13) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

ERN061 PAYMENT BASED ON ATTAINMENT OF FULL RETIREMENT AGE - NO PAYMENT PRIOR TO ATTAINMENT OF FULL RETIREMENT AGE (W44)

(Requested)

Caption: Your Benefits

Because of (1) work in (2) , we cannot pay (3) any other benefits until (4) full retirement age. In (5) case that is (6) .

ERN062 PARTIAL AND FULL PAYMENT IN CURRENT YEAR BASED ON ESTIMATE (W45)

(Requested)

Caption: Your Benefits

Because of (1) estimated earnings of (2) for (3) , we can only pay (4) part of (5) benefit for (6) , and (7) full benefit for all months after that.

Please be sure to let us know right away if (8) work or earnings change, because changes could affect the amount of (9) benefits.

Fill-in values:

Fill-in (1) - Systems Generated

Choice 1: your

Choice 2: Beneficiary's Name, possessive

Fill-in (2) - Requested As A Money Amount In Format $$$$$.¢¢

Choice 1: Estimated earnings amount

Fill-in (3) - Requested As A Date In Format Shown Below

Choice 1: CCYY

Fill-in (4) - Systems Generated

Choice 1: you

Choice 2: him

Choice 3: her

Fill-in (5) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (6) - Requested As A Date In Format Shown Below

Choice 1: MM/CCYY of partial payment

Fill-in (7) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (8) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (9) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

ERN063 FULL AND INTERMITTENT PAYMENTS IN CURRENT YEAR BASED ON ESTIMATE (W46)

(Requested)

Caption: Your Benefits

Based on (1) estimated earnings of (2) for (3) , benefits are payable for (4) . If (5) estimate of earnings for the rest of the year changes or (6) neither earn over (7) as an employee nor perform (8) substantial services in self-employment in any months before (9) , please notify any Social Security office promptly.

Fill-in values:

Fill-in (1) - Systems Generated

Choice 1: your

Choice 2: Beneficiary's Name, possessive

Fill-in (2) - Requested As A Money Amount In Format Shown Below

Choice 1: Amount (in format $$$$$.¢¢)

Fill-in (3) - Requested As A Date In Format Shown Below

Choice 1: CCYY

Fill-in (4) - Requested As A Date In Format Shown Below

Choice 1: MM/CCYY

Choice 2: MM/CCYY and MM/CCYY

Choice 3: MM/CCYY through MM/CCYY

Fill-in (5) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (6) - Systems Generated

Choice 1: you neither earn

Choice 2: he neither earns

Choice 3: she neither earns

Fill-in (7) - Systems Generated

Choice 1: Monthly earnings limit (in format $$$$$.¢¢)

Fill-in (8) - Systems Generated

Choice 1: perform

Choice 2: performs

Fill-in (9) - Systems Generated

Choice 1: age 65” or full retirement age (i.e., 66 and 2 months)

Note: This is the FRA from the FRA utility.

ERN064 RESPONSIBILITIES OF PEOPLE ENTITLED TO A PERIOD OF DISABILITY FOR MEDICARE COVERAGE (W50)

(Requested)

Caption: Your Benefits

If (1) to work while (2) still disabled, (3) may be entitled to a trial work period to test (4) ability to resume work. During this period (5) may work in as many as 9 months (which need not be consecutive) and still be considered disabled for entitlement to Medicare coverage no matter how high (6) earnings. After the trial period has ended, we will consider the work (7) did in determining whether (8) shown by (9) work activity that (10) disability has ended. However, (11) not entitled to a trial work period if (12) entitled to a second period of disability for which (13) did not have to complete a waiting period.

(1) told us that (2) earned (3) in (4) . However, our records show that (5) earned (6) that year (7) . Because of this, we should have withheld (8) from (9) benefits for (10) . Since we only withheld (11) , we paid (12) (13) too much in benefits.

If (14) we are wrong, please get in touch with us. (15) should also give us any facts (16) to show that our records are wrong.

Fill-in values:

Fill-in (1) - Systems Generated

Choice 1: you

Choice 2: Beneficiary Name

Fill-in (2) - Systems Generated

Choice 1: you

Choice 2: he

Choice 3: she

Fill-in (3) - Requested As A Money Amount In Format $$$$$.¢¢

Choice 1: Amount of earnings shown on annual report

Fill-in (4) - Requested As A Date In Format Shown Below

Choice 1: CCYY

Choice 2: CCYY and CCYY

Choice 3: CCYY through CCYY

Fill-in (5) - Systems Generated

Choice 1: you

Choice 2: he

Choice 3: she

Fill-in (6) - Requested As A Money Amount In Format $$$$$.¢¢

Choice 1: Amount of posted earnings

Fill-in (7) - Requested As A One Position Alpha Character

Choice 1: (A) “.”

Choice 2: (B) and we assume that you worked in all months of that year after you became entitled to Social Security benefits.

Choice 3: (C) and we assume that he worked in all months of that year after he became entitled to Social Security benefits.

Choice 3: (C) and we assume that he worked in all months of that year after he became entitled to Social Security benefits.

Choice 4: (D) and we assume that she worked in all months of that year after she became entitled to Social Security benefits.

We have decided that (1) did not have a good reason for not giving us (2) (3) report of earnings on time.

Fill-in values:

Fill-in (1) - Systems Generated

Choice 1: you

Choice 2: Name

Fill-in (2) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (3) - Requested As A Date In Format Shown Below

Choice 1: CCYY

ERN069 PAYMENTS BASED ON ATTAINMENT OF FULL RETIREMENT AGE IN CURRENT OR PRIOR MONTH (W62)

(Requested)

Caption: Your Benefits

Because of (1) work in (2) , we cannot pay (3) (4) . We will pay (5) for the month (6) full retirement age. In (7) case that is (8) . We will pay (9) for the month (10) full retirement age and the months after that.

Fill-in values:

Fill-in (1) - Systems Generated

Choice 1: your

Choice 2: Name possessive

Fill-in (2) - Requested As A Date In Format Shown Below

Choice 1: CCYY

Fill-in (3) - Systems Generated

Choice 1: you

Choice 2: him

Choice 3: her

Fill-in (4) - Requested As A Date In Format Shown Below

Choice 1: for MM/CCYY

Choice 2: for MM/CCYY and MM/CCYY

Choice 3: from MM/CCYY through MM/CCYY

Fill-in (5) - Systems Generated

Choice 1: you

Choice 2: him

Choice 3: her

Fill-in (6) - Systems Generated

Choice 1: you reach

Choice 2: he reaches

Choice 3: she reaches

Fill-in (7) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (8) - Systems Generated

Choice 1: age 65 or full retirement age

Note: this Fill-in is the FRA from FRA utility passed in skelcomp record as follow: FRA years + FRA months

Because (1) working outside the United States for more than 45 hours each month, (2) not due benefits now. For this reason, the other members of the household are due (3) more money. We will pay (4) this amount instead of increasing the other benefits. However, since this money is really due the other family members, it should be used only for their needs.

If (5) working or if (6) 45 hours or less in any month, please let us know right away, because (7) may be eligible for benefits.

As (1) requested, the month of entitlement shown above may be changed after we receive and process (2) annual report of earnings. If (3) estimate of earnings for the year changes or there are one or more months in which (4) not work in self employment or for wages, please notify any Social Security office promptly.

ERN083 BENEFITS WITHHELD FOR MONTH(S) PRIOR TO FILING/ATTAINMENT OF FULL RETIREMENT AGE PENDING RECEIPT OF ANNUAL REPORT (W81)

(Requested)

Caption: Your Benefits

(1) are due benefits for (2) because (3) did not work during that period. Based on (4) estimated earnings of (5) for (6) , (7) due (8) for (9) , and (10) due (11) full benefit for each month after that.

We are writing to let (1) know that the annual earnings test limit increased this year. The earnings limit is the amount (2) may earn in a year without causing a reduction in (3) benefits. Based on (4) estimate of (5) for this year, we told (6) that (7) benefits would begin (8) . Because the earnings limit was raised we can pay (9) benefits sooner.

We are writing to let (1) know that the annual earnings test limit increased this year. The earnings limit is the amount (2) may earn in a year without causing a reduction in (3) benefits. Based on (4) estimate of (5) for this year, (6) due more benefits.

Fill-in values:

Fill-in (1) - Systems Generated

Choice 1: You

Choice 2: Beneficiary's name is

Fill-in (2) - Systems Generated

Choice 1: you

Choice 2: he

Choice 3: she

Fill-in (3) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (4) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (5) - Requested As A Money Amount In Format $$$$$.¢¢

Choice 1: Estimate in $$$$$.¢¢ format

Fill-in (6) - Systems Generated

Choice 1: you are

Choice 2: he is

Choice 3: she is

ERN088 TO WORKING BENEFICIARY PAYMENT BASED ON ATTAINMENT OF FULL RETIREMENT AGE IN CURRENT OR PRIOR MONTH (W22)

(Requested)

Caption: Your Benefits

We withheld (1) benefits for (2) because of (3) earnings. We are paying (4) because (5) reached full retirement age. In (6) case that is (7) . We are paying (8) for the month (9) reached full retirement age and all later months.

Fill-in values:

Fill-in (1) - Systems Generated

Choice 1: your

Choice 2: beneficiary name possessive

Fill-in (2) - Requested As A Date In Format Shown Below

Choice 1: MM/CCYY

Choice 2: MM/CCYY and MM/CCYY

Choice 3: MM/CCYY through MM/CCYY

Fill-in (3) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (4) - Systems Generated

Choice 1: you

Choice 2: him

Choice 3: her

Fill-in (5) - Systems Generated

Choice 1: you

Choice 2: he

Choice 3: she

Fill-in (6) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (7) - Systems Generated

Choice 1: FRA from FRA utility in format of (i.e., 66 and 2 months)

Fill-in (8) - Systems Generated

Choice 1: you

Choice 2: him

Choice 3: her

Fill-in (9) - Systems Generated

Choice 1: you

Choice 2: he

Choice 3: she

ERN089 SPOUSE REINSTATED AND COMBINED WITH OWN RETIREMENT BENEFIT/BASED ON N/H's WORK/EARNINGS (W07)

(Requested)

Caption: Your Benefits

Based on (1) spouse's work, we can pay (2) (3) benefits beginning (4) . We will combine these benefits with (5) own retirement benefits, and send (6) one check each month.

(7) next check includes (8) benefits for (9) .

Fill-in values:

Fill-in (1) - Systems Generated

Choice 1: your

Choice 2: Beneficiary's Name possessive

Fill-in (2) - Systems Generated

Choice 1: you

Choice 2: him

Choice 3: her

Fill-in (3) - Requested As A One Position Alpha Character

Choice 1: (A) husband's

Choice 2: (B) wife's

Fill-in (4) - Requested As A Date In Format Shown Below

MM/CCYY

Fill-in (5) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (6) - Systems Generated

Choice 1: you

Choice 2: him

Choice 3: her

Fill-in (7) - Systems Generated

Choice 1: Your

Choice 2: His

Choice 3: Her

Fill-in (8) - Systems Generated

Choice 1: husband's

Choice 2: wife's

Fill-in (9) - Requested As A Date In Format Shown Below

Choice 1: MM/CCYY

Choice 2: MM/CCYY and MM/CCYY

Choice 3: MM/CCYY through MM/CCYY

ERN090 EMPLOYER REPORTED EARNINGS USED TO DETERMINE BENEFITS DUE (W19)

(Requested)

Caption: Your Benefits

We adjusted (1) (2) Social Security benefits based on earnings of (3) that (4) employer reported. We are writing to let (5) know that we will use the same amount of earnings to decide the benefits (6) due in (7) .

Because (1) worked while getting Social Security, we reduced (2) benefits when (3) earned over certain limits each year. However, (4) may be due more Social Security benefits because of a rule that applies in the year when (5) full retirement age.

In the year (6) became (7) , which is (8) full retirement age; we count (9) earnings only for the months before (10) (11) .

Therefore, if through (12) (13) :

Less than the limit of (14) , (15) due payments for all months.

More than the limit of (16) , (17) due the amount left after we subtract $1 for every $3 (18) over the limit.

Remember that, beginning with the month (19) full retirement age, the earnings test no longer applies. We will send (20) a form to find out how much (21) earned for the months before (22) reached (23) full retirement age. Once we receive (24) reply, we will pay (25) any additional benefits due.

Fill-in values:

Fill-in (1) - Systems Generated

Choice 1: you have

Choice 2: beneficiary name plus has

Fill-in (2) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (3) - Systems Generated

Choice 1: you

Choice 2: he

Choice 3: she

Fill-in (4) - Systems Generated

Choice 1: you

Choice 2: he

Choice 3: she

Fill-in (5) - Systems Generated

Choice 1: you reach

Choice 2: he reaches

Choice 3: she reaches

Fill-in (6) - Systems Generated

Choice 1: you

Choice 2: he

Choice 3: she

Fill-in (7) - Systems Generated

Choice 1: Full Retirement Age (i.e., 66 years and 2 months)

Fill-in (8) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (9) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (10) - Systems Generated

Choice 1: you reach

Choice 2: he reaches

Choice 3: she reaches

Fill-in (11) - Systems Generated

Choice 1: Full Retirement Age (i.e., 66 years and 2 months)

Fill-in (12) - Systems Generated

Choice 1: CCYY

Fill-in (13) - Systems Generated

Choice 1: you earn

Choice 2: he earns

Choice 3: she earns

Fill-in (14) - Systems Generated

Choice 1: Earnings Limit

Fill-in (15) - Systems Generated

Choice 1: you are

Choice 2: he is

Choice 3: she is

Fill-in (16) - Systems Generated

Choice 1: Earnings Limit

Fill-in (17) - Systems Generated

Choice 1: you are

Choice 2: he is

Choice 3: she is

Fill-in (18) - Systems Generated

Choice 1: you earn

Choice 2: he earns

Choice 3: she earns

Fill-in (19) - Systems Generated

Choice 1: you reach

Choice 2: he reaches

Choice 3: she reaches

Fill-in (20) - Systems Generated

Choice 1: you

Choice 2: him

Choice 3: her

Fill-in (21) - Systems Generated

Choice 1: you

Choice 2: he

Choice 3: she

Fill-in (22) - Systems Generated

Choice 1: you

Choice 2: he

Choice 3: she

Fill-in (23) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (24) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (25) - Systems Generated

Choice 1: you

Choice 2: him

Choice 3: her

ERN092 BENEFITS PAYABLE IN CURRENT OR PRIOR YEAR BECAUSE OF NON-SERVICE MONTHS FOLLOWED BY SUSPENSION (W38)

(Requested)

Caption: Your Benefits

We can pay (1) benefits for (2) because (3) (4) (5) during (6) . We are withholding the rest of (7) benefits for (8) because of (9) work and earnings.

Please be sure to let us know right away if (10) work or earnings change, because changes would affect the amount of (11) benefits.

Fill-in values:

Fill-in (1) Systems Generated

Choice 1: you

Choice 2: beneficiary's name

Fill-in (2) Requested As A Date In Format Shown Below

Choice 1: MM/CCYY

Choice 2: MM/CCYY and MM/CCYY

Choice 3: MM/CCYY through (MM/CCYY

Fill-in (3) Systems Generated

Choice 1: you are not

Choice 2: he is not

Choice 3: she is not

Choice 4: you will not

Choice 5: he will not

Choice 6: she will not

Fill-in (4) Requested As A One Position Alpha Character

Choice 1: (A) earn more than

Choice 2: (B) earning more than

Choice 3: (C) perform substantial services in self employment

Choice 4: (D) performing substantial services in self-employment

Fill-in (5) Requested As A One Position Alpha Character Or As A Money Amount In Format $$$$$.¢¢

Caption: Information About Work and Earnings; or Caption: Your Benefits

We used (1) earnings through (2) to figure the benefit amount. Later, we will refigure the benefit to include any earnings (3) had after (4) . (5) will not have to ask us to do this. After we have refigured the benefit amount, we will let you know about any increase.